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Comment & Response
July 8, 2013

Accurately Estimating Cervical Cancer Screening Overuse Among Older Women—Reply

Author Affiliations
  • 1Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York
  • 2Division of General Internal Medicine, University of California, San Francisco
  • 3San Francisco Veterans Affairs Hospital, San Francisco, California
JAMA Intern Med. 2013;173(13):1266-1267. doi:10.1001/jamainternmed.2013.7408

In Reply We appreciate the thoughtful comment by Liss and Baker regarding our study1 and agree that the visit-based nature of National Ambulatory Medical Care Survey (NAMCS) leads to an inability to report on the prevalence of types of services delivered to a population, a limitation that is noted in the NAMCS documentation as well.2 However, in a presentation of trends, wherein these limitations are present across all years of study data, the comparison of rates between these years is valuable.